Caspian Journal of Pediatrics

Background: Urinary tract infection (UTI) is an important complication after kidney transplantation (KT). UTI may cause kidney damage and dysfunction especially in children. Therefore, the aim of this study was to evaluate the risk of UTI after KT in adult and children and compare of them.

Methods: This study was done in Shaheed Beheshti Hospital (Babol Medical University). All patients, after KT and during one month after their operation were followed and divided to two groups (according their ages): more than 18 years old (adults) and under 18 years old (Children).Then, their urine samples were sent for culture every 2-3 days during admition and every week after discharged and more than 100000 single colony count were defined positive culture. Data were analyzed using t-test and p<0.05 was considered important.

Results: There were 508 cases and 450 patients were adult and others were children. Among them, 109 (24%) adult and 8(13.8%) children had positive urine culture, respectivley (P > 0.05) .In adult groups, 62 (21.6%) male and 47(28.8%) female patients had positive culture. However, in children group, 2 (6.3%) boys and 6 (23.1%) girls had positive culture, respectively (P<0.05).

Conclusions: According to positive culture, there was no difference between adult and children, but females had higher risk of positive U/C than males .So, more attention was needed after KT in females.